BACKGROUND The authors used continuous quality improvement (CQI) program data to investigate trends in quality of anesthesia care associated with changing staffing patterns in a university hospital. METHODS The monthly proportion of cases performed by solo attending anesthesiologists versus attending-resident teams or attending-certified registered nurse anesthetist (CRNA) teams was used to m...

Many patients visiting hospital emergency departments (EDs) or admitted to trauma centers have alcohol problems. Therefore, it is plausible that all ED and trauma patients should be screened for unhealthy alcohol use so that optimal care can be provided and treatment initiated, if necessary, for these patients. In addition, brief interventions offered directly in the ED or trauma unit could be ...

INTRODUCTION Worldwide, severe traumatic brain injury is a frequent pathology and is associated with high morbidity and mortality. Mannitol and hypertonic saline are therapeutic options for intracranial hypertension occurring in the acute phase of care. However, current practices of emergency physicians are unknown. METHODS We conducted a self-administered survey of emergency physicians in th...

BACKGROUND A wide range of pharmaceutical products are needed for diagnosis, treatment, and prevention of HIV/AIDS. However, interrupted supplies and stock-outs are the major challenges in the supply chain of ARV medicines and related commodities. The aim of this study was to assess the supply chain management of HIV/AIDS related commodities in public health facilities of Addis Ababa, Ethiopia....

BACKGROUND A previous study showed that calls received by our continuity clinic residents were similar to those in private practice. However, that study did not address the compliance of the parents to the advice given. OBJECTIVE To determine parents' compliance to after-hours telephone advice given by pediatric residents in a continuity clinic. DESIGN Advice given during initial telephone ...

In 1911 John Broadus Watson and Shepard Ivory Franz proposed that the teaching of psychology was as essential to the education of medical students as were anatomy, pharmacology, surgery, and the other basic and clinical sciences. Today, our country's 126 medical schools each employ an average of some 35 full-time faculty psychologists; 6 have established full-fledged departments of psychology t...

INTRODUCTION There has been concern of increased emergency department (ED) length of stay (LOS) during the months when new residents are orienting to their roles. This so-called "July Effect" has long been thought to increase LOS, and potentially contribute to hospital overcrowding and increased waiting time for patients. The objective of this study is to determine if the average ED LOS at the ...

For more information, contact: Peter Shin Assistant Research Professor of Health Policy The George Washington University Medical Center School of Public Health & Health Services 2021 K Street, NW, Suite 800 Washington, DC 20006 (202) 296-6922 ~ [email protected] or Michelle Proser Research and Data Analyst National Association of Community Health Centers Department of Federal, State and Public Affa...

Anne C. Smith, Mark R. Stefani, Bita Moghaddam, and Emery N. Brown Neuroscience Statistics Research Laboratory, Department of Anesthesia and Critical Care, Massachusetts General Hospital, Boston; Division of Health Sciences and Technology, Harvard Medical School/Massachusetts Institute of Technology, Cambridge, Massachusetts; and Department of Neuroscience, University of Pittsburgh, Pittsburgh,...